Monarch Basics - Credit Application

Addresses

Billing Address
Shipping Address
Legal Company Name of Applicant
(Not required if same as Billing Address)

Corporate Information

Corporate Information

Owners Information

If Company is Less Than One Year Old - Please Complete
Name & Addess of Principals (Owners)

Credit References

Please Complete All Credit References
Bank Info:

Trade Reference 1
Trade Reference 2

Certification of Application

Certification of Application
I certify that the information on the application is correct and hereby apply for a credit account from Monarch Office Supply Inc. I agree that all accounts are due and payable net 30 days. Interest charged at 2% per month (24% per annum) on all overdue accounts. I hereby authorize the person or firm to whom this application is made, any credit bureau or reporting agency to investigate the references herein listed, or statements, or other statements, or other data obtained pertaining to my credit or financial responsibility.
Name*:
Date: Wed Dec 13 2017
Title*:


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1835 Provincial Road, Windsor, Ontario N8W 5V7
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A Licensed Dealer of Basics Office Products Ltd.